Reports by Edwin Park
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Allowing Insurers to Withhold Data on Enrollees’ Health Status Could Undermine Key Part of Health Reform
December 12, 2011
Risk adjustment is one of the critical elements of health reform (i.e., the Affordable Care Act, or ACA) that’s designed to encourage insurers to compete based on price and quality — not on attracting the healthiest enrollees and deterring those in poorer health, as they typically do today in the individual and small-group … -
Proposal to Establish Federal Medicaid “Blended Rate” Would Shift Significant Costs to States
June 24, 2011
An Obama Administration proposal that’s on the table for budget negotiators would reduce federal Medicaid expenditures by reducing the federal share of Medicaid and CHIP costs, shifting costs to states and likely prompting states to cut payments to health care providers and to scale back the health services that Medicaid covers for … -
Ensuring Effective Risk Adjustment
May 18, 2011
Risk adjustment is a critical element of the Affordable Care Act (ACA) that can help assure the long-term success of the law’s new health insurance exchanges and market reforms. Risk adjustment compensates insurers offering plans in the individual and small-group markets inside and outside the exchanges for the risks … -
Lower-Than-Expected Medicare Drug Costs Reflect Decline in Overall Drug Spending and Lower Enrollment, Not Private Plans
May 6, 2011
Some supporters of the House budget plan’s proposal to replace Medicare with a voucher to purchase private health insurance claim that reliance on private insurers can lower costs.[1] They cite the fact that the costs of Medicare Part D, which took effect in 2006, have been lower than the Congressional Budget Office predicted … -
Proposed Cap on Federal Spending Would Force Deep Cuts in Medicare, Medicaid, and Social Security
Revised April 15, 2011
A prominent proposal by Senators Bob Corker (R-TN) and Claire McCaskill (D-MO) to limit total federal spending to no more than 20.6 percent of the Gross Domestic Product (GDP), which is attracting increasing attention, may sound benign, but it would inevitably force enormous cuts in Medicare, Medicaid, and possibly Social Security. The … -
What if Ryan's Medicaid Block Grant Had Taken Effect in 2000?
April 12, 2011
House Budget Committee Chairman Paul Ryan’s radical proposal to convert Medicaid to a block grant, which the House will consider this week as part of Ryan’s sweeping budget plan, would have cut federal Medicaid funds to most states by more than 25 percent by 2009 and to several of them by more than 40 percent if it … -
CBO Confirms Ryan’s Medicaid Block Grant Would Likely Harm States, Beneficiaries, and Providers
April 6, 2011
The majority of the $1.4 trillion in Medicaid cuts over the next ten years in House Budget Committee Chairman Paul Ryan’s budget would come from converting the program into a block grant. The non-partisan Congressional Budget Office (CBO) issued an analysis yesterday finding that block-granting Medicaid would shift costs to states, beneficiaries, and health care … -
Off the Charts Blog Post: Ryan’s Rx for Medicaid Means Millions More Uninsured or Underinsured Seniors, People with Disabilities, and Children
April 4, 2011
House Budget Committee Chairman Paul Ryan (R-WI) will unveil a budget tomorrow that would cut Medicaid by as much as $1 trillion over the next 10 years and convert it into a block grant. He and others will likely claim that these changes would merely rein in “out-of-control” Medicaid costs while letting states stretch their reduced federal … -
Medicaid Block Grant Would Produce Disparate and Inequitable Results Across States
March 10, 2011
Some policymakers, including House Energy and Commerce Committee Chairman Fred Upton and House Budget Committee Chairman Paul Ryan, are considering converting Medicaid to a block grant to produce large federal budget savings. For example, a block-grant proposal that Ryan co-authored last fall would reduce federal Medicaid spending by … -
Medicaid Block Grant Would Shift Financial Risks and Costs to States
February 23, 2011
Some states may mistakenly believe that proposals to convert Medicaid into a block grant or otherwise cap federal funding would make their Medicaid costs more predictable and stable over time. In reality, a block grant is intended to provide predictability for the federal government by replacing the current financing … -
House-Passed Amendment to Defund Health Reform Would Block Insurance Reforms, Cost-Containment Measures, and Coverage Improvements
Updated February 18, 2011
The House today passed an amendment by Rep. Denny Rehberg (R-MT) to the fiscal year 2011 continuing resolution, which is expected to pass tonight or tomorrow. The amendment would bar the use of any funds provided by the legislation to implement any aspect of the Affordable Care Act, the health reform law enacted last year.[1] If … -
Medicaid Block Grant or Funding Caps Would Shift Costs to States, Beneficiaries, and Providers
January 6, 2011
Proposals to convert Medicaid into a block grant or otherwise cap its funding are receiving renewed attention in the emerging debate over cutting federal spending. For example, Rep. Fred Upton (R-MI), the new chair of the House Energy and Commerce Committee, reportedly has already discussed block-granting Medicaid with some …
